Individual
KRISTINA MARIE GAUDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115
(617) 732-8210
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001248083
VA
367500000X
Certified Registered Nurse Anesthetist
0024171284
VA
367500000X
Certified Registered Nurse Anesthetist
84870
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2322901
MA
367500000X
Certified Registered Nurse Anesthetist
RN564090
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074998
OHJFS
WV
05
—
048315100
—
DC
05
—
1780933184
—
VA
01
—
1780933185
UNICARE
WV
01
—
2762822
HIGHMARK OF WV
WV
05
—
3810024844
—
WV
05
—
421640701
—
MD
01
—
9167942
AETNA
WV
01
—
9333201
GROUP MEDICARE NO.
WV
01
—
P01140514
RRMEDICARE
WV
Enumeration date
08/31/2012
Last updated
06/05/2018
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